Predictors of first-year postoperative complications after fixation of low-energy ankle fractures: A single-center, retrospective cohort study of 663 consecutive fractures.
Rev Esp Cir Ortop Traumatol
; 2023 Dec 01.
Article
em En, Es
| MEDLINE
| ID: mdl-38043738
ABSTRACT
INTRODUCTION:
Rotational ankle fractures are common, have diverse personalities and affect both robust and fragile patients. Postoperative complications are frequent, creating a sizeable economic burden. The primary purpose of this study was to expand current knowledge on predictors of postoperative complications after low-energy ankle fracture fixation. MATERIALS ANDMETHODS:
A retrospective single-center cohort study was completed of patients undergoing internal fixation OF low-energy ankle fractures. The primary outcome was first-year postoperative complications, classified as major (surgical) or minor (non-surgical). Data on patients, their injuries, and treatments were collected. To identify potential predictors of outcomes, logistic regression methods were used, with a backward-stepwise method used for model fitting.RESULTS:
In total, 663 patients of median age 59 years were analyzed. We found a high rate of complications (28.4%), with wound-healing issues and infections predominant. Overall, 14.8% had minor complications, while 13.6% required an unplanned reoperation. On multivariable analysis, the most consistent predictors of complications were older age (OR=1.02 per year), longer operating time (3.32 per hour), and smoking (2.91).CONCLUSIONS:
Older patients and smokers who sustain fractures requiring more complex surgery are at higher risk of postoperative complications.
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MEDLINE
Idioma:
En
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Es
Ano de publicação:
2023
Tipo de documento:
Article